The “can do, do do” concept in individuals with chronic obstructive pulmonary disease: an exploration of psychological mechanisms

Carl, Johannes; Schultz, Konrad; Janssens, Thomas; Leupoldt, Andreas von; Pfeifer, Klaus; Geidl, Wolfgang

doi:10.1186/s12931-021-01854-1

Cited by 19 publications

(16 citation statements)

References 49 publications

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“…Conversely, physical inactivity is a major risk factor for poor outcomes in people with COPD and also leads to early mortality death in patients harboring chronic diseases [7][8][9]. Due to activity-related breathlessness and decreased exercise tolerance, the majority of COPD patients are usually forced to reduce PA and adopt a sedentary lifestyle [10][11][12]. Specifically, the duration, intensity and counts of activity in people with COPD were reduced significantly [13].…”

Section: Introductionmentioning

confidence: 99%

Physical activity and chronic obstructive pulmonary disease: a scoping review

Xiang

Fang

et al. 2022

BMC Pulm Med

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Background Reduced physical activity (PA) was the strongest predictor of all-cause mortality in patients with chronic obstructive pulmonary disease (COPD). This scoping review aimed to map the evidence on the current landscape of physical activity, barriers and facilitators, and assessment tools across COPD patients. Methods Arksey and O’Malley’s scoping review methodology framework guided the conduct of this review. An electronic search was conducted on five English databases (PubMed, Cochrane Library, PsycINFO, CINAHL and Web of Science) and three Chinese databases (CNKI, CQVIP and WAN-FANG) in January 2022. Two authors independently screened the literature, extracted the studies characteristics. Results The initial search yielded 4389 results, of which 1954 were duplicates. Of the remaining 135 articles, 42 studies met the inclusion criteria. Among the reviewed articles, there were 14 (33.3%) cross-sectional study, 9 (21.4%) cohort study, 4 (9.5%) longitudinal study, 3 qualitative study, 12 (28.7%) randomized control trials. The main barriers identified were older age, women, lung function, comorbidities, COPD symptoms (fear of breathlessness and injury, severe fatigue, anxiety and depression), GOLD stage, frequency of exacerbation, oxygen use, lack of motivation and environment-related (e.g., season and weather). Twelve studies have evaluated the effects of physical exercise (e.g., walking training, pulmonary rehabilitation (PR), pedometer, self-efficacy enhancing intervention and behavioral modification intervention) on PA and showed significant positive effects on the prognosis of patients. However, in real life it is difficult to maintain PA in people with COPD. Conclusions Changing PA behavior in patients with COPD requires multidisciplinary collaboration. Future studies need to identify the best instruments to measure physical activity in clinical practice. Future studies should focus on the effects of different types, time and intensity of PA in people with COPD and conduct randomized, adequately-powered, controlled trials to evaluate the long-term effectiveness of behavioral change interventions in PA.

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Section: Introductionmentioning

confidence: 99%

Physical activity and chronic obstructive pulmonary disease: a scoping review

Xiang

Fang

et al. 2022

BMC Pulm Med

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“…It satis es the dynamic needs of patients and improves the enthusiasm and con dence of patients to participate in the exercise rehabilitation program. Secondly, exercise rehabilitation helps to reduce patients' negative emotions such as anxiety and depression, as well as selfreported activity-related dyspnea, achieving long-term bene cial health outcomes [43] .…”

Section: 3exercise Intervention Based On Bcw Theory Can Improve the S...mentioning

confidence: 99%

Effectiveness of a theory-based behavior change intervention on physical activity in patients with chronic obstructive pulmonary disease

Xiang

Han

Luo³

et al. 2022

Preprint

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Background:The aim of this study was to evaluate whether a theory-based behavior change intervention could promote changes in physical activity (PA) and sedentary behavior (SB) among patients with chronic obstructive pulmonary disease (COPD), as well as its effects on symptoms of dyspnea, lung function, exercise capacity, self-efficacy, and health-related quality of life (HRQoL). Methods: A quasi-experimental design and convenience sampling were adopted. 92 patients with stable COPD were recruited from two hospitals in Zhejiang province, China. Both the experimental and control groups received usual care provided in the hospital. The control group received usual care only, while the experimental group performed a PA program based on the behavior change wheel theory. Outcomes were measured at baseline (T0), 4 weeks (T1), 8 weeks (T2), and 12 weeks of the intervention (T3). The primary outcome, PA, was measured by the International Physical Activity Questionnaire (IPAQ). Secondary outcomes included: sedentary behavior (SB) measured by the IPAQ, dyspnea measured by the modified Medical Research Council (mMRC) questionnaire, exercise capacity assessed by six minute walking test (6MWT), self-efficacy measured by the Exercise Self-Regulatory Efficacy Scale (EX-SRES), and HRQOL measured by the COPD Assessment Test (CAT). In addition, we measured lung function, using the Spirometer at baseline and 12 weeks. Results: Of the 89 patients included in this study, 64 were male (71.91%); with a mean age of 67.03 ±6.15 years. At 12 weeks, the improvement of PA, SB, mMRC, 6MWT, EX-SRES and CAT were all statistically significant (P<0.05) in the experimental group compared to the control group.There was no difference between groups in lung function. Repeated measures analysis of variance showed that there were group effects and time effects on total PA, SB, mMRC, 6MWT, EX-SRES, and CAT in both groups (P<0.001). Conclusion: PA program based on theoretical significantly improved PA, reduce sedentary time and promote healthy behavior change in patients with COPD. Due to the limited intervention time in this study, lung function in COPD patients may not be reversed in a short period of time, thus further research is necessary. Trial registration: Clinical Trials.gov (ChiCTR2200060590).

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“…The result is four quadrants to which a person is allocated: (1) “can do–do do” (high PC, high PA), (2) “can do–do not do” (high PC, low PA), (3) “cannot do–do do” (low PC, high PA), and (4) “Cannot do–do not do” (low PC, low PA). To date, the PC-PA quadrant concept has been applied in people with pulmonary diseases [ 3 , 4 , 5 , 6 , 7 ]. Here, the concept emerged as a promising approach to form clinically distinct groups and to contrast an individual’s ability to perform physical activities and their actual performance of PA in everyday life.…”

Section: Introductionmentioning

confidence: 99%

“Can Do” vs. “Do Do” in Older Adults: A Cross-Sectional Analysis of Sensor-Derived Physical Activity Patterns

Adams

Carrascosa

Jansen

et al. 2023

Sensors

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(1) Background: Identifying groups with a misaligned physical capacity (PC) and physical activity (PA) is potentially relevant for health promotion. Although an important health determinant, deeper knowledge of underlying walking behavior patterns in older adults is currently missing. We aim to identify specific PA signatures of misaligned groups and determine PA variables discriminating between groups. (2) Methods: In total, 294 community-dwelling older adults (≥70 years) were divided into four quadrants based on thresholds for PA (≥ or <5000 steps/day) and PC (≤ or >12 s, Timed Up and Go test). Kruskal–Wallis and effect sizes were calculated to compare quadrants’ PA variables and to determine the discriminative power of PA parameters on walking duration, frequency, and intensity. (3) Results: We identified quadrant-specific PA signatures. Compared with “can do–do do”, the “cannot do–do do” group performs shorter continuous and lower-intensity walks; the “can do–do not do” group takes fewer steps and walks with less intensity. The “cannot do–do not do” group presents lower values in all PA variables. “Walking duration greater or equal 3 METs” was the strongest discriminative PA variable. (4) Conclusion: We provide distinct PA signatures for four clinically different groups of older adults. Walking intensity is most useful to distinguish community-dwelling older adults, which is relevant for developing improved customized health promotion interventions.

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The “can do, do do” concept in individuals with chronic obstructive pulmonary disease: an exploration of psychological mechanisms

Cited by 19 publications

References 49 publications

Physical activity and chronic obstructive pulmonary disease: a scoping review

Physical activity and chronic obstructive pulmonary disease: a scoping review

Effectiveness of a theory-based behavior change intervention on physical activity in patients with chronic obstructive pulmonary disease

“Can Do” vs. “Do Do” in Older Adults: A Cross-Sectional Analysis of Sensor-Derived Physical Activity Patterns

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